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Tattoo Removal: Learn About Possible Side Effects


It is estimated that close to 10% of the U.S. population
has some sort of tattoo. Eventually, as many as 50% of them want to have laser
tattoo removal.

There is good news for those who have an unwanted body design.
Newer laser tattoo removal techniques can eliminate your tattoo with minimal
side effects. Here’s how it works: lasers remove tattoos by breaking up the
pigment colors of the tattoo with a high-intensity light beam.

Black tattoo pigment absorbs all laser wavelengths, making it the easiest to treat. Other colors can only be treated by selected lasers based upon the pigment color.

Who Can Benefit
From Laser Tattoo Removal?

Because each tattoo is unique, removal techniques
must be tailored to suit each individual case. In the past, tattoos could be
removed by a wide variety of methods but, in many cases, the scars were more
unsightly than the tattoo itself.

Patients with previously treated tattoos may
also be candidates for laser therapy. Tattoos that have not been effectively
removed by other treatments or through home remedies may respond well to laser
therapy providing the prior treatments did not result in excessive scarring.

Do I Find a Reputable Doctor to Do Laser Tattoo Removal?

To have a tattoo removed, you want to make sure you find a reputable dermatologist or cosmetic surgery center to ensure proper treatment and care. If possible, you should obtain a recommendation from your family doctor for a dermatologist or skin surgery center that specializes in tattoo removal.

What Can I Expect During Laser Tattoo Removal?

Depending on
the size and color of your tattoo, the number of treatments will vary. Your
tattoo may be removed in two to four visits, though many more sessions may be
necessary. You should schedule a consultation, during which time a trained
professional will evaluate your personal situation and advise you on the

Treatment with the laser varies from patient to patient depending on
the age, size and type of tattoo (amateur or professional). The color of the patient’s skin, as well as the depth to which the tattoo pigment extends, will
also affect the removal technique.

In general, this is what will happen during
an office visit for tattoo removal using the newer lasers:

  • Protective eye shields are placed on the patient.
  • The skin’s reaction to the laser is tested to
    determine the most effective energy for treatment.
  • The treatment itself consists of placing a hand piece
    against the surface of the skin and activating the laser light. As many
    patients describe it, each pulse feels like a grease splatter or the snapping
    of a rubber band against the skin.
  • Smaller tattoos require fewer pulses while larger
    ones require more. In either case, the tattoo requires several treatments and
    multiple visits. At each treatment, the tattoo should become progressively
  • Immediately following treatment, an ice
    pack is applied to soothe the treated area. The patient will then be asked to
    apply a topical antibiotic cream or ointment. A bandage or patch will be used to
    protect the site and it should likewise be covered with a sun block when out in
    the sun.

Most patients do not require any anesthesia. However, depending on the
location of the tattoo and the pain threshold for the patient, the physician may
elect to use some form of anesthesia (topical anesthesia cream or painkiller
injections at the site of the procedure).

What Are the Possible Side Effects of Laser Tattoo Removal?

There are minimal side effects to laser tattoo
removal. However, you should consider these factors in your decision:

  • The tattoo removal site is at risk for infection. You
    may also risk lack of complete pigment removal, and there is a slight chance
    that the treatment can leave you with a permanent scar.
  • You may also risk hypopigmentation, where the treated
    skin is paler than surrounding skin, or hyperpigmentation, where the treated
    skin is darker than surrounding skin.
  • Cosmetic tattoos like lip liner,
    eyeliner and eyebrows may darken following treatment with tattoo removal lasers.
    Further treatment of the darkened tattoos usually results in fading.

Is Laser
Tattoo Removal Safe?

Thanks to newer technology, laser tattoo removal has become much more effective with very little risk of scarring. Laser treatment is often safer than many traditional methods such as excision, dermabrasion or salabrasion (using moist gauze pads saturated with a salt solution to abrade the tattooed area) because of its unique ability to selectively treat pigment involved in the tattoo.

In many cases, certain colors may be more effectively removed than others. It is known that blue/black tattoos respond particularly well to laser treatment — the response of other colors is under investigation.

Remember, the information provided here is designed to provide general information only and is not a replacement for a doctor’s advice. For details pertaining to your specific case, please arrange a consultation with a physician experienced in the use of tattoo lasers.

Insurance Cover Laser Tattoo Removal?

Since tattoo removal is a personal option
in most cases and is considered a cosmetic procedure, most insurance carriers
will not cover the process unless it is medically necessary. Physicians or
surgery centers practicing tattoo removal may also require payment in full on
the day of the procedure. If you are considering tattoo removal, be sure to
discuss associated costs up front and obtain all charges in
writing before you undergo any treatment.

WebMD Medical Reference


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